IndividualActive
Jacquelyn Fortner, M.A. CCC-SLP
NPI 1104387703 · Speech-Language Pathologist · Medford, OR
Provider details
- NPI number
- 1104387703
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 27301 (CA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3265 Biddle Rd
Medford, OR 97504-4122
Phone: (541) 816-4747
Street-level locationGet directions
Mailing address
63 Larkfield Maples Ct
Santa Rosa, CA 95403-1486
Registry dates
- Enumerated
- 2019-03-26
- Last updated
- 2019-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.